Does your doctor bill for more than one visit on same day?
#31
my mother went to the dr and had another question to aske him and he told her to make another appointment. Its not right... just not right. I ask my dr. a ton of questions. In fact she usually asks me.
#32
Super Member
Join Date: Dec 2010
Posts: 1,143
Thats not right. We have Kaiser and I love it. I can ask as many questions and she only bills me for one visit. Plus I can be sick and call her and she will help me out over the phone.. No charge there just for the medican. Plus she is always trying to help me to keep the cost down. She is a GREAT Doctor.. I just love her.
#34
Member
Join Date: May 2011
Posts: 6
That has happened to me two years in a row. This April I went for my wellness check up like I do every year. This time I kept my mouth shut and didn't complain about any aches or pains and I was still charged for two visits. The South Bend clinic billing department didn't code as a wellness visit so my BCBS insurance wouldn't pay for it. I have called my insurance company twice and called South Bend Clinic twice. The clinic insists that I was sick. I am sick. Sick an tired of getting the run around. I paid the $400+ bill. I just don't know what to do. I am retired and too young for Medicare. I buy my own health insurance which has been really good except for paying on the wellness benefit. Luckily, I don't get sick very often.
#36
I work in a doctor's office, we only charge one per day and believe me some of our patients have a long list to talk about. In fact if we send a patient to the ER we don't bill for the visit cause insurance won't pay for it.
#37
Super Member
Join Date: Jul 2010
Location: Lebanon Missouri
Posts: 2,668
This doesn't sound legit at all.. I'd have to give them a call to see if this is a mistake and if it isn't I'd get a new doctor and make a call to my insurance carrier to lodge a complaint And if this dbl charge isn't legit the ins. co. will know what to do about them
#38
Senior Member
Join Date: Jul 2009
Posts: 935
I am a manager for a medical billing service. I can say with absolute certainty that if a doctor properly documents what services were performed and what issues were addressed with a particular patient, they are indeed allowed to bill for two visits done the same day -- one as the scheduled routine physical, and the other for problems that were brought up by the patient. Coding and billing rules are very strict on when a physician is allowed to do this. From what some of you say, your doctors are not following the rules. The rules are too varied to go into here, but if anyone has any specific questions about your situations, please feel free to PM me. I read where some people have just paid the bills --- they can be appealed, and with a favorable outcome for you. I would be happy to share how.
Edited to add.....before you pay any bill to a doctor's office, question the processing with the insurance carrier first. If a visit is denied, depending on the reason, the doctor has the write it off (or fight it themselves) and is not allowed to bill you for it per their contract with the insurance carrier.
Edited to add.....before you pay any bill to a doctor's office, question the processing with the insurance carrier first. If a visit is denied, depending on the reason, the doctor has the write it off (or fight it themselves) and is not allowed to bill you for it per their contract with the insurance carrier.
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